新疆三级综合性公立医院医疗救援应急能力现状调查

Survey of capacity of emergency medical service in gradeⅢcomprehensive public hospitals in Xinjiang

目的通过调查新疆三级综合性公立医院应急救援现状、应急救援的制度、人员、物资储备和预案情况,探讨新疆公立医院应急救援能力的不足之处。方法自制"新疆三级综合性公立医院卫生应急能力机构"调查表,从应急组织机构和人员、应急制度、应急预案制定与修订、医疗救援、培训演练及考核、应急保障六方面对全疆21家三级综合性公立医院进行问卷调查,其中乌鲁木齐7家,北疆地区8家,南疆地区6家。结果2015-2017年21家医院共救援各类突发事件233起,被救援人数为5663人次,平均响应时长为(17.71±3.33)min;与当地卫生系统内机构有联络制度和现场急救医疗快速评估制度的医院分别是7家(33.33%)和12家(57.14%);应急救援队员人数年平均增长速度为5.58%,年龄结构主要集中在31~40岁年龄段(39.51%)。不同地区的应急培训人次数和应急演练人数有差异(P<0.05),乌鲁木齐市年应急培训人次数最多,为(1049.00±107.53)人次,南疆地区演练人次数最多,为(1457.00±106.59)人次;能够做到定期修订更新预案的19家医院中有10家(52.63%)每年修订更新;有15家医院(71.43%)有应急专项经费,其中11家医院(73.33%)经费能满足日常工作需要。结论医疗应急救援现状不容乐观,呼吁政府增加应急救援资金投入,医院建立和完善应急管理制度和程序,提高应急救援队的专业化水准,开辟空中救援通道。

Objective To discuss the ability of the emergency medical service of Xinjiang public hospitals by investigating the current situation of emergency rescue,emergency rescue system,emergency personnel,emergency material reserve and emergency plan of the Grade III comprehensive public hospitals.Methods 21 Grade III comprehensive public hospitals were surveyed by the self-made questionnaire of“emergency capacity of the Grade III comprehensive public hospitals in Xinjiang”,which included six parts:emergency organization and personnel,emergency rescue system,emergency plan formulation and revision,medical rescue training and examination,and emergency guarantee,including 7 in Urumqi,8 in northern Xinjiang,6 in southern Xinjiang.Results From 2015 to 2017,there were 233 cases of various emergencies and 5663 persons were rescued in 21 hospitals,and the average response time was(17.71±3.33)minutes.There were 7 hospitals(33.33%)with liaison systems with the other local health institutions and 12 hospitals(57.14%)with a rapid assessment systems in emergency care.The average annual growth rate of emergency rescue personnel was 5.58%,and the age range was mainly within 31-40 year-old,accounting for 39.51%.There were differences in the personnel numbers of emergency training and drilling among the regions(P<0.05).The number of training personnel in Urumqi was maximum(1049.00±107.53),and the number of training personnel in southern Xinjiang region was maximum(1457.00±106.59).There were 19 hospitals which could revise and update their plans regularly,but only 10 hospitals(52.63%)could do it annually.15 hospitals(71.43%)had their emergency special funds,there are 11 hospitals(73.33%)whose funds could meet their daily work needs in them.Conclusion The current situation of emergency medical services is not optimistic,so it is necessary to call on the government to increase the investment of emergency rescue funds,to establish and improve the emergency management system and procedures in hospitals,to improve the professional level of emergency rescue teams,and to open up air rescue channels in hospital.